Sheffield test

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Risk Assessments

• How many machines or processes occur in the area?

• What are they

• How many of these have an upto date Risk Assessment?

Manual Handling

• How many Manual handling tasks are involved in the area ?

• What are they

• How many have been reviewed in the last year?

COSHH

• What substances are used in the area, is there an assessment and when were they reviewed?

• Are there any secondary containers unmarked?

  Yes

  No

  N/A

• Add media

  Media

Loto Signage

Machine

• Loto sign in place?

  Yes

  No

  N/A

Toolbox talks

• How many toolbox talks have been delivered in the last month

• Has fire evacuation been delivered in the last year?

  Yes

  No

  N/A

• Has Manual Handling been delivered in the last year?

  Yes

  No

  N/A

• Has slips trips and falls been delivered in the last year?

  Yes

  No

  N/A

• Has Noise been delivered in the last year?

  Yes

  No

  N/A

• Has pedestrian activities been delivered in the last year?

  Yes

  No

  N/A

• Has COSHH been delivered in the last year?

  Yes

  No

  N/A

Training

• Does the section have a training matrix?

  Yes

  No

  N/A

• Does the training matrix show levels of competancy ?

  Yes

  No

  N/A

• Is there documentary proof to support the declared competancy status?<br>

  Yes

  No

  N/A

Employee behaviour

• Employee Name

• Machine / process running

• Hearing protection being worn correctly?

  Yes

  No

  N/A

• Eye protection being worn

  Yes

  No

  N/A

• Safety footwear being worn

  Yes

  No

  N/A

• Can the employee explain the purpose of the Lock Out / TAg Out process?

  Yes

  No

  N/A

• Can the employee demonstrate how to Lock Out / Tag Out ?

  Yes

  No

  N/A

• Has the machine been checked before use ( evidence the daily safety sign off sheet )

  Yes

  No

  N/A

• Can the employee explain the main risks associated with the activity?

  Yes

  No

  N/A

• Good manual handling pratice evedent ?

  Yes

  No

  N/A

Machine Safety

• Machine ?

• Lock out / tag out sign ?

  Yes

  No

  N/A

• Hearing protection sign ?

  Yes

  No

  N/A

• Eye protection sign ?

  Yes

  No

  N/A

• Guards in place ?

  Yes

  No

  N/A

• Risk assessment for the machine available ?

  Yes

  No

  N/A

• Controls with legible writing ?

  Yes

  No

  N/A

• Push sticks closely available and in good condition?

  Yes

  No

  N/A

Fire

• Evacuation plan displayed showing all relevant escape routes and roll call point?

  Yes

  No

  N/A

• Fire exinguisher station identification

• Extinguishers in place, clearly marked for type of fire?

  Yes

  No

  N/A

• Extinguisher serviced in the last 12 months?

  Yes

  No

  N/A

• When ?

• Has extinguisher been departmentally checked in the last month?

  Yes

  No

  N/A

• When was the last time?

• Extinguishers clear of obstructions?

  Yes

  No

  N/A

• Adequate direction notices for fire exits?

  Yes

  No

  N/A

• Fire exits easily opened from inside?

  Yes

  No

  N/A

• Exits clear of obstructions?

  Yes

  No

  N/A

• Other than at workstations is the section clear of flammable substances ?

  Yes

  No

  N/A

Machines with Ajustable Guards

• First Machine

• All adjustable guards properly set? (photo)

  Yes

  No

  N/A

• Second Machine

• All adjustable Guards Set properly? (photo)

  Yes

  No

  N/A

• Third Machine

• All adjustable guards set properly? (photo)

  Yes

  No

  N/A

Emergency proceedures

• Emergency lighting operable?

  Yes

  No

  N/A

• All lights working?

  Yes

  No

  N/A

• Emergency proceedures by the office telephone ?

  Yes

  No

  N/A

Building Safety

• Floor surface even and uncluttered

  Yes

  No

  N/A

• Entry and walkways clear

  Yes

  No

  N/A

• Walkways clearly and adequately marked?

  Yes

  No

  N/A

• No unattended splls?

  Yes

  No

  N/A

Work Benches

• Clear of rubbish / clutter ?

  Yes

  No

  N/A

• No damaged hand tools ?

  Yes

  No

  N/A

• No damaged power tools ?

  Yes

  No

  N/A

• Evidence of 5s workplace organisation throughout area ?

  Yes

  No

  N/A

Rubbish

• Bins not full?

  Yes

  No

  N/A

• No rubbish under stairs or under machines?

  Yes

  No

  N/A

• Good segragation of waste streams ?

  Yes

  No

  N/A

Racking

• Evidence of systematic racking inspection in area?

  Yes

  No

  N/A

• Evidence of racking repair?

  Yes

  No

  N/A

• Dramaged racking isolated ?

  Yes

  No

  N/A

Electrical

• Machine inspected?

• Emergency stop works?

  Yes

  No

  N/A

• No double adaptors in use?

  Yes

  No

  N/A

• Portable equipment tested and tagged ?

  Yes

  No

  N/A

• No broken plugs, sockets or switches ?

  Yes

  No

  N/A

• No trailing leads ?

  Yes

  No

  N/A

• No frayed or damaged leads?

  Yes

  No

  N/A

• No access to live circuits ?

  Yes

  No

  N/A

• Cabinets properly locked and electrical hazard danger symbol displayed ?

  Yes

  No

  N/A

• Adequate access to switch gear ?

  Yes

  No

  N/A

• Wiring from disconected plant properly terminated ?

  Yes

  No

  N/A

Ladders

• Ladders in area a minimum of EN131 ?

  Yes

  No

  N/A

• Are ladders in good condition?

  Yes

  No

  N/A

• Evidence of pre use checks ?

  Yes

  No

  N/A

• Evidence of periodic checks ?

  Yes

  No

  N/A

• Ladders tagged and on ladder register ?

  Yes

  No

  N/A

First Aid

• Are there enough first aiders on shift ? 1 for every 50 employees

  Yes

  No

  N/A

• First aid supplies sufficient and in date?

  Yes

  No

  N/A

• Eye wash stations full and in date ?

  Yes

  No

  N/A

• First aiders identified on the notice board ?

  Yes

  No

  N/A

• HSE Poster displayed

  Yes

  No

  N/A

Fork lift truck

• Fork lift truck driver

• Driver wearing lap belt restraint?

  Yes

  No

  N/A

• Evidence of truck shift signed off ?

  Yes

  No

  N/A

• Driving standard ?

  Safe

  At Risk

  N/A

• Good use of horn and slowing down at doorways?

  Yes

  No

  N/A

Working at height

• Any work at height during the audit?

  Yes

  No

  N/A

• If yes then why is it happening?

• Is the working being supervised?

  Yes

  No

  N/A

• Are the operatives trained?

  Yes

  No

  N/A

• Comments

Knives

• Does the area need to use knives?

  Yes

  No

  N/A

• If so what safety type are they?

• Is there a reason why safety knives are not being used?

  Safe

  At Risk

  N/A

Comments

• Additional Comments

• Auditor

  Sign

• Group Manager

  Sign